MEDICARE: SYNERGY IN MOTION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1306605209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY IN MOTION

Provider Business Mailing Address
First Line	:	8651 FORT SMALLWOOD RD STE 1
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2445
Country	:	US
Telephone Number	:	443-938-2718
Fax Number	:	443-645-2567

Provider Business Practice Location Address
First Line	:	8651 FORT SMALLWOOD RD STE 1
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2445
Country	:	US
Telephone Number	:	410-315-9080
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROMMER UYBUNGCO DIZON
Credential	:	PT, DPT
Telephone Number	:	620-203-1934

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	03/09/2026

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Directions to “SYNERGY IN MOTION ” Practice Location

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